KR100862181B1 - The patient's state cognition system and method for preventing unreasonable demand of the insurance - Google Patents

Abstract

The present invention relates to a system and method for recognizing a patient state for preventing unfair claims by using RFID technology, and attaching an RFID tag to a patient's clothing to grasp the patient's location information and analyzing the patient's behavior pattern to determine whether there is abnormal behavior. The present invention relates to a system and method for recognizing a patient's condition that enables the calculation of a justifiable insurance claim.

The present invention is installed in specific places of the hospital to recognize the position and behavior pattern of each patient to generate a specific radio frequency signal to drive the RFID tag, the patient is mounted on the upper and lower garment of the patient by the radio frequency signal of the antenna RFID tag for generating a specific specific frequency signal, a reader installed with the antenna to detect the information signal of each patient transmitted from the RFID tag to send information to the management server, patient information transmitted from each reader, etc. Management server for receiving and matching the behavior pattern of the patient, a database server that stores the behavior pattern type information of the patient, a web server for transmitting the information filtered by the management server to the Insurance Corporation on the web, the web server Bo, characterized in that consisting of the Insurance Corporation server 100 for receiving the information transmitted from (15) Patients state that the system for preventing fraudulent charges Friday.

RFID tag, radio frequency, behavior pattern

Description

The patient status system and method for preventing claims against unfair claims {THE PATIENT'S STATE COGNITION SYSTEM AND METHOD FOR PREVENTING UNREASONABLE DEMAND OF THE INSURANCE}

1 is a schematic diagram of Embodiment 1 of a system of the present invention;

Figure 2 is a conceptual diagram of the system of the present invention connected to the Insurance Corporation server (100).

3 is a schematic diagram of Embodiment 2 of a system of the present invention;

4 is a schematic diagram of Embodiment 3 of a system of the present invention;

5 is a schematic diagram of Embodiment 1 of a method of the present invention;

6 is a schematic diagram of Embodiments 2 to 3 of the method of the present invention;

<Description of main parts of drawing>

10: antenna 11: RFID tag

12: reader 13: management server

14: database server 15: web server

16: Sensor 17: Near Athena

18: Near field medical RFID tag 19: Near field medical reader

20: button for visiting purposes 100: Insurance Corporation server

The present invention relates to a system and method for recognizing a patient state for preventing claims fraud using RFID (Radio Frequency IDentification) technology. More particularly, the present invention relates to a patient's clothing by attaching an RFID tag to a patient's position. The present invention relates to a system and method for recognizing a patient's condition that enables the calculation of a fair amount of insurance through grasping information, analyzing a patient's behavioral pattern, and identifying abnormal behavior.

In general, when using a medical institution and claiming insurance premiums such as industrial accident insurance and medical insurance, a hospitalization certificate, a medical certificate such as surgery, and a medical certificate are required. In this case, the hospitalization period and the medical history should be clear in order to calculate the premium.

In reality, however, in order to claim a large amount of insurance premiums, only the hospitalization record is written falsely, and in some cases, a person lives a normal life.

In this case, the Insurance Corporation cannot always check whether a patient has entered the room. In addition, it is almost impossible to confirm the medical treatment. Therefore, it is left to the conscience of the patient or doctor.

In order to confirm this fact, it is necessary to be able to confirm the patient's admission status and whether the patient has been treated at the time of doctor's consultation.

Meanwhile, there is a conventional non-contact recognition system that attaches a small chip to various articles and transmits and processes information of an object and surrounding environment information at a radio frequency. This technology is called RFID (Radio Frequency IDentification) technology.

The above technology consists of a reader (reader) with a read / decode function, an RFID tag with unique information, a micro antenna that sends radio frequency to the RFID tag, an operating software, a network, and the like, and a thin tag attached to an object. Process the information by identifying it.

The antenna has a function of transmitting a signal for reading data input to the tag, and activates the tag through the generated electromagnetic field to enable communication between the computer and the tag. Antennas are often combined with transceivers or decoders to act as readers.

Tags are so small that they can be inserted into the skin, ranging from large enough to be used on a truck. The memory capacity of the tag depends on the requirements, and the shape of the tag can be variously formed.

A reader manages the communication between the antenna, computer and server. The reader unpacks the data encrypted in the tag's chip and sends the data to the computer for execution.

The present invention enables to check the state of admission and hospitalization of the patient using the RFID technology as described above, and to determine whether the patient received the medical care at the time of the doctor's treatment, different from the behavior pattern of the normal inpatient It is an object of the present invention to provide a system and method for preventing an unfair claim of insurance premiums by providing the information to the Korea Insurance Corporation when abnormal behavior patterns occur.

In addition, the present invention can use the sensor to detect the patient's condition on the bed of the patient in addition to the above RFID technology can detect the occurrence of abnormal behavior pattern of the patient to inform the Insurance Corporation, and also to inform the medical staff in case of emergency quickly emergency measures It is an object of the present invention to provide a system and method that enable to take.

<Example 1 of the system>

1 is an embodiment of a patient state recognition system for preventing claims fraud using RFID technology according to the present invention,

An antenna 10 installed at specific places of the hospital to recognize the position and behavior pattern of each patient to generate a specific radio frequency signal to drive the RFID tag 11;

RFID tag 11 mounted on the upper and lower garments of the patient to generate a specific frequency signal unique to the patient by the radio frequency signal of the antenna,

A reader 12 installed with the antenna for detecting information signals of each patient transmitted from the RFID tag 11 and transmitting information to the management server 13;

Management server 13 for receiving the information and the like transmitted from each reader 12 to match and filter the patient's behavior patterns,

Database server 14 that stores the behavior pattern type information of the patient,

Characterized in that it consists of a web server 15 for transmitting the information filtered by the management server 13 to the Insurance Corporation server 100 on the web.

The antenna 10, the RFID tag 11, the RFID tag 11, and the reader 12 are wirelessly connected to each other using radio frequency, and the reader 12, the management server 13, and the database server ( 14), the web server 15 and the Insurance Corporation server 100 is connected to each other through a communication network.

The antenna 10 is installed in specific facilities or places of the hospital to recognize the location and behavior pattern of each patient to generate a specific radio frequency (for example, about 900Mhz) signal to generate the RFID tag 11 Drive it. In more detail, the antenna 10 is generally installed as the reader 12 and is installed in the bed, the entrance to the hospital, the toilet, the rest room, and the walkway of the hospital, respectively.

Antennas 10 installed in these places continuously generate radio waves of a certain frequency around the device. The radio waves thus formed are driven by the radio waves of the antenna when the antenna 10 passes around the place where the antenna 10 is installed. The signal of the antenna has a high frequency (900Mhz) band, the effective range is extended to a long distance.

The RFID tag 11 is attached to the upper or lower hospital clothes of the patient as shown in FIG. The RFID tag 11 is made compact so that it may not feel uncomfortable when wearing hospital clothes.

In addition, it is generally possible to attach to the hem, buttons, pockets and sleeves on the hospital clothing that the patient can not recognize, and may be attached to the waist, hem and pockets under the hospital clothing.

The hospital uniform is attached to a tag with each unique ID recorded, so that the patient is distinguished by storing the unique information of each patient with the unique information of each tag after paying the hospital uniform to the patient.

The RFID tag 11 can distinguish each patient with a device each having unique patient information. The RFID tag is usually in a dormant state and starts to operate when the RFID tag detects the radio wave of the antenna 10. That is, the tag detecting the radio wave transmits the unique information of the patient to the reader 12 through the radio even if the tag is not recognized by the patient.

The reader 12 detects a signal of a specific frequency transmitted by the RFID tag 11 and transmits information integrating the ID of the reader 12 and the tag ID together to the management server 13 through a wired / wireless communication network. Done.

In general, the reader 12 is installed together with the antenna 10. Therefore, the present invention is installed in the bed, the entrance to the hospital, the toilet, the rest room, the walkway of the hospital, such as the installation position of the antenna, respectively.

In a more preferred embodiment of the present invention, the reader installed in the bed recognizes only one specific ID signal using the bed, and the reader installed in the entrance to the hospital room receives all the ID signals of the plurality of patients using the corresponding room. The reader is installed in the toilet, the rest room, and the promenade so as to recognize the ID signal of the entire hospital.

Since the above setting is to be paid to the individual patient in each bed, only the access of the bed user is recognized, and in the case of the entrance door, it is sufficient to check only the entrance and exit of the patients who use the room, and the toilet and the rest room. In this case, all the patients in the hospital should check all access.

The management server 13 is connected to the reader 12 through a wired / wireless communication network, and receives the position information of the reader and the unique information of the patient transmitted by the reader 12 to process the information (matching, filtering) Do this.

The database server 14 is connected to the management server 13 through a communication network, and stores the type information regarding the general normal or abnormal behavior pattern of the patient.

In the case of the above normal behavior pattern, for example, a person who cannot enter the intensive care unit and cannot move the signal should be checked only in the bed of the ward. In addition, for patients in general hospitals, signals should be detected in various places of the hospital, except in special cases where the behavior is impossible.

In the case of abnormal behavior patterns (abnormal behavior patterns), there may be cases where the signal is confirmed by staying in bed for a long time without going to the toilet even if the patient is not incapable of movement, and the signal is not detected in any place or facility of the hospital. It may also occur and can be perceived as being stationary and stationary in a break room or walkway.

The basic behavior pattern types as described above should be input and stored in the database server 14 in advance according to the patient's condition when entering the patient. However, if no input is made in advance, the expected behavior pattern for the general patient is input as the default default value.

The web server 15 is connected to the management server 13 through a communication network, and is connected to the Internet to transmit information on occurrence of abnormal behavior patterns of patients on the network to the Insurance Service. The information transmitted from the web server 15 to the Insurance Corporation server 100 basically transmits only the information on the abnormal behavior pattern through filtering in the management server 13 to minimize the leakage of privacy information of the patient.

The Insurance Corporation server 100 is connected to the communication network through the management server 13 of the plurality of hospitals and the web server 15 of each hospital as shown in FIG. Therefore, it processes the abnormal behavior patterns of patients from multiple hospitals.

<Example 2 of the system>

3 is another embodiment of a patient state recognition system for preventing claims fraud according to the present invention, together with an embodiment using the above RFID technology,

It is configured to further include a sensor 16 is installed in the bed of the patient to generate the behavior pattern information signal of the patient,

The reader 12 further detects the behavior pattern information signal of the patient generated by the sensor 16 and transmits the same to the management server 13.

The sensor 16 is a known technique capable of sensing various conditions of a patient, and various types of sensors may be used. Possible sensors include a heat sensor for detecting changes in body temperature, a vibration sensor for detecting patient movements, and a weight sensor using a load cell for detecting a patient's weight. There is this. In the present invention, each of these sensors may be used or a combination thereof may be used.

However, the most preferable is the use of a weight sensor using a load cell. In the general body temperature is easy to change, but the basic weight does not change rapidly in a short time. In addition, in the case of a critical patient, almost no movement of the body and the general patient may not move while sleeping. Therefore, using a load cell is the most reliable.

In the case of using the load cell described above, when the patient enters the hospital, the management server 12 which manages the measurement value of the load cell is inputted with the basic weight of the patient or, if not, the initial measurement value is set as an initial value or a default value (eg, For example, 60Kg) to be stored in the database server (14).

In addition, in the management program of the management server, the weight of the patient measured by the load cell may change, so set the allowable value of the allowable error in advance. Therefore, if the weight of the patient changes drastically, for example, the patient may be seen as an abnormal behavior pattern such as leaving the clothes or luggage on the bed and going out.

The sensor 16 may be connected to the reader 12 through a wired or wireless communication network, and information signals about behavior patterns of various patients detected by the sensor are sent to the reader and transmitted from the reader to the management server. In this case, the reader 12 may receive information of an RFID tag, may be designed to receive information of a sensor, or may be designed to receive a signal of a sensor only.

In Embodiment 2, the information stored in the database server 14 is information on the normal behavior pattern and the abnormal behavior pattern which are distinguished by the combination of the information using the sensor 16 and the information by the RFID tag of the patient.

In the case of the normal behavior pattern, for example, the signal of the RFID tag moves irregularly and the signal must be detected at various places in the hospital, and the signal by the sensor using the load cell is the basic value of the patient when the patient is in bed. The normal behavior pattern should be detected when the weight does not deviate significantly from.

However, in the case of the abnormal behavior pattern, the signal of the tag is continuously detected in only one place, or the signal of the tag is detected in the bed, but it can be regarded as the abnormal behavior pattern when the weight of the patient is not detected by the sensor.

In addition, when the signal of the tag is detected in the bed, but the weight of the patient is more than the allowable difference, the tag signal of the patient is detected in the break room, the case that the weight of the patient is detected in the bed, etc. are all abnormal behavior patterns.

Such information is entered into the database server 14 before entering the patient or stored as a general default value.

<Example 3 of the system>

Figure 4 is another embodiment of a patient state recognition system for preventing claims fraud according to the present invention, together with the above embodiments using the RFID technology or the RFID technology and sensors,

A short range antenna 17 attached to a medical record of a patient to generate a specific radio frequency (for example, about 13.56 Mhz) signal to drive a short range RFID tag 18 provided to a medical person;

A near field RFID tag 18, which is provided to doctors and nurses who are medical personnel and transmits a unique information signal of a medical person by a specific frequency signal of the near antenna;

Button 20 which is installed in the patient's room and can transmit information such as medical examination, roundup, urgent call for medical visit,

And a short range reader 19 mounted in a patient's room to detect information of a medical person generated by the short range RFID tag 19 and a button 20 installed in the patient's medical record and transmit the information to a management server. The configuration to use was used.

In the above, the configuration and the main role of the near antenna 17, the RFID tag 18 and the reader 19 are not different from those described in the first embodiment. However, the near antenna 18 and the reader 19 are mounted in the patient's room, and the RFID tag 18 is attached to the medical staff's medical clothing.

The RFID tag may be installed in a place where a pocket or a button is not visible on the medical suit's medical clothing, and the tag may be attached to the name tag by giving a name card to the medical person.

In addition, the signal of the near-field antenna 17 has a low frequency range, and the effective range is limited to the near-field so that it responds only when visiting a specific patient.

The button 20 mounted in the hospital room can selectively transmit a signal relating to a visit purpose of a medical person such as a medical treatment, a round call, an emergency call, and the like. Press) to send a signal to the reader 19 about the purpose of the visit of the medical personnel through the wire, and this signal is transmitted to the management server 13 through the communication network.

However, the above embodiment is not limited only to the ward, and may be a place or a location where information can be easily detected and input during the treatment of the patient in the vicinity of the patient.

In the third embodiment, the information stored in the database server 14 is information that is distinguished from normal behavior patterns or abnormal behavior patterns by combining information of RFID tags, information of sensors, information of medical tags and information of buttons.

In this case, the normal behavior pattern may correspond to the normal behavior pattern, for example, when an irregular movement signal of a patient is detected and a signal in a bed is detected at the visit of a medical person.

In case of abnormal behavior pattern, if the patient stays in one place (bed) for a long time or if the tag signal is checked at the place other than the bed of the hospital during the medical examination, the weight is not detected even if the tag signal is detected in the bed during the medical examination. Cases can be regarded as abnormal behavior patterns.

Such information is entered into the database server 14 before entering the patient or stored as a general default value.

The method of the present invention has the following embodiments of the method using the embodiments of the system to solve the technical problem.

<Example 1 of the method>

5 is an embodiment of a patient state whether the method for preventing claims unfairly in accordance with the present invention

A first step of generating a specific radio frequency signal by an antenna 10 installed at a specific place of a hospital in order to recognize a patient's behavior pattern;

When the RFID tag 11 enters the frequency effective range of the antenna generated in the first step, the RFID tag 11 installed on the patient's clothing operates according to the signal of the antenna 10 to transmit unique information of the patient. Step 2,

A third step of receiving the patient information of the RFID tag 11 transmitted in the second step by the reader 12 and transmitting it to the management server 13 together with the location information of the reader 12;

A fourth step of receiving the patient information of the RFID tag 11 transmitted in step 3 and the location information of the reader from the management server 13;

A fifth step of matching the patient information received in the fourth step with behavior pattern information stored in the database server 14,

A sixth step of filtering, by the management server 13, the matched information in the fifth step to determine whether it is a normal behavior pattern or an abnormal behavior pattern;

If the behavior pattern of the patient filtered by the management server 13 is an abnormal behavior, the web server 15 transmits to the Insurance Corporation server 100 through the Internet, and displays the management server 13 on the hospital side, if the insurance is normal Characterized in that the seventh step that does not transmit to the industrial server 100.

First, the first step is to always operate to generate a specific radio frequency signal within the effective range in the antenna 10 installed in a specific place of the hospital. Therefore, in a preferred embodiment, the antenna installed in the bed of the hospital, the entrance to the room, the toilet, the rest room, the walkway is always transmitting radio frequency.

The generated radio frequency drives the RFID tag when the RFID tag 11 enters the effective range.

Subsequently, when the patient enters the effective range of the antenna 10 in the second step, the RFID tag 11 attached to the patient's clothing is moved from the idle state to the operating state by the radio frequency formed at the antenna in the first step. The unique ID information of the patient stored in the embedded chip is transmitted to the reader 12 through the radio frequency.

In the third step, the reader 12 installed with the antenna 10 and located in the same area receives a radio frequency transmitted from the RFID tag. The ID information of the patient and the information regarding the position of the reader are transmitted to the management server 13 through the communication network.

In the fourth step, the management server 13 receives the information transmitted by the reader 12 in the third step and organizes the information grasping the behavior pattern of each patient by using the management program.

In the fifth step, the behavior pattern during normal hospitalization of the patient stored in the database server 14 is matched with the information about the behavior pattern received in the fourth step by the management server 13. At this time, the information stored in the database server 14 may include the position information of the normal behavior pattern or abnormal behavior pattern of the patient, information on whether or not to enter the room, information about time. Examples of such information are the behavior patterns described in the embodiments of the system.

In the present invention, a method of distinguishing between the normal behavior pattern and the abnormal behavior pattern is the RFID tag 11 signal of the patient hospital uniform or the signal of the sensor 16 using the load cell or the RFID tag 18 and the button 20 of the medical staff. The results of the signal or combination of the above signals are also distinguished.

For example, as mentioned above, the normal behavior pattern may correspond to the normal behavior pattern, for example, when an irregular movement signal of a patient is detected and a signal in a bed is detected at the visit of a medical person.

In addition, in case of abnormal behavior pattern, if the patient stays in one place (bed) for a long time or if the tag signal is checked in a place other than the bed of the hospital during the medical examination, the weight is detected even if the tag signal is detected in the bed during the medical examination. If not, it can be regarded as an abnormal behavior pattern.

Therefore, by using the signals of the RFID tags 11 and 18, the sensors 16, and the buttons 20 as described above, the intersection of the meanings of the signals may be obtained, and the combination of the general behavior patterns of the patients may be obtained. It can be a judgment data about the behavioral patterns of patients and analyze the behavioral patterns of patients.

In the sixth step, it is filtered whether the information matched in the fifth step shows a normal behavior pattern or an abnormal behavior pattern.

In the seventh step, when the abnormal behavior pattern is displayed, the management server 13 transmits the information regarding the occurrence of the abnormal behavior pattern to the Insurance Corporation server 100 through the web server 15. In addition, the occurrence of the abnormal behavior pattern is displayed on the hospital side to check whether the patient enters.

In addition, the hospital side can be quickly responded if the patient has an abnormality.

In this case, when the patient's behavior pattern is a normal behavior pattern, the management server ends without transmitting the patient's information to the Insurance Corporation server 100. This is to protect privacy by minimizing the leakage of personal information of patients.

<Example 2 of the method>

6 is another embodiment of a method of identifying a patient state for preventing unfair claims of the present invention.

A first step of generating a specific radio frequency signal by an antenna 10 installed at a specific place of a hospital in order to recognize a patient's behavior pattern;

When the RFID tag 11 enters the frequency effective range of the antenna 10 generated in the first step, the RFID tag 11 installed on the patient's clothing is operated according to the signal of the antenna 10 to provide unique information of the patient. A second step of transmitting the patient's status information by detecting a patient's behavior pattern by the sensor 16 installed in the patient's bed;

The reader 12 receives the patient information of the RFID tag 11 and the patient state information detected by the sensor 16 transmitted in the second step, and transmits it to the management server 13 together with the position information of the reader 12. The third step,

A fourth step of receiving the patient information of the RFID tag 11 transmitted in step 3, the patient status information detected by the sensor 16, and the location information of the reader 12 from the management server 13;

A fifth step of matching the patient information received in the fourth step with behavior pattern information stored in the database server 14,

A sixth step of filtering, by the management server 13, the matched information in the fifth step to determine whether it is a normal behavior pattern or an abnormal behavior pattern;

If the behavior pattern of the patient filtered by the management server 13 is an abnormal behavior, the web server 15 transmits to the Insurance Corporation server 100 through the Internet, and displays the management server 13 on the hospital side, if the insurance is normal Characterized in that the seventh step that does not transmit to the industrial server 100.

Since Example 1 and Example 2 are similar in approximate parts, description will be made mainly on differences.

The first step is not different from the first embodiment, and in the second step, the RFID tag 11 is driven to transmit the unique information of the patient as a radio frequency signal, and also in the sensor 16 installed in the patient's bed. The patient's behavior pattern is detected and the patient's status information is transmitted. That is, the thermal sensor, the vibration sensor, the weight sensor detects the behavior pattern of the patient lying in the bed.

In the third step, the signal of the RFID tag 11 generated in the second step and the information signal detected by the sensor 16 are received by the reader and transmitted to the management server 14 together with the location information of the reader 12 itself. to be.

The fourth to seventh steps are not different from those of the first embodiment.

<Example 3 of the method>

In still another embodiment of the method whether the patient state for preventing claims fraud of the present invention in Figure 6,

In order to recognize the patient's behavior pattern, the antenna 10 installed in a specific place of the hospital generates a specific radio frequency signal, and the near antenna 17 mounted on the patient's medical record in order to determine the location of the medical person has a specific radio frequency. A first step of generating a signal,

When the RFID tags 11 and 18 of the patient and the medical person enter within the frequency effective ranges of the antenna 10 and the near antenna 17 generated in the first step, the RFID tag 11 installed on the patient's clothing and the near field of the medical person The RFID tag 18 is operated according to the signal of the antenna to transmit the patient's unique information and the location information of the medical person, and the sensor 16 installed in the patient's bed detects the patient's behavior pattern and transmits the patient's status information. A second step of transmitting a specific signal by pressing a button 20 mounted on the medical record of the patient suitable for the purpose of visiting the patient;

Patient information of the RFID tags 11 and 18 transmitted in the second step, location information of the medical person, patient state information detected by the sensor 16, and the signal transmitted from the button 20 of the patient medical record pressed by the medical person A third step of receiving the readers 12 and 19 and transmitting the location information of the readers 12 and 19 to the management server 13;

A fourth step of receiving the location information and the status information transmitted in the step 3 from the management server 13,

A fifth step of matching the patient information received in the fourth step with behavior pattern information stored in the database server 14,

A sixth step of filtering, by the management server 13, the matched information in the fifth step to determine whether it is a normal behavior pattern or an abnormal behavior pattern;

If the behavior pattern of the patient filtered by the management server 13 is an abnormal behavior, the web server 15 transmits to the Insurance Corporation server 100 through the Internet, and displays the management server 13 on the hospital side, if the insurance is normal Characterized in that the seventh step that does not transmit to the industrial server 100.

In the first stage, not only the radio frequency (about 900Mhz) is generated in the antenna 10 installed in a specific area of the hospital, but also the near-field radio frequency (13.65Mhz) occurs in the near antenna 17 installed in the medical record.

Therefore, when a medical person approaches the patient's medical record for the patient's medical treatment, the medical personnel enter the effective range of the antenna 17, and the radio frequency of the antenna drives the RFID tag 18 attached to the medical staff's clothing. do.

In the second step, the RFID tags 11 and 18 of the patient and the medical person are driven by the antennas 10 and 17 to transmit unique information of the patient and the medical person's information to the readers 12 and 19 by radio frequency. do.

In addition, when the medical person presses the button 20 installed in the medical record of the patient in accordance with the purpose of the visit, the corresponding signal is generated and transmitted to the reader 19 through the communication network. In addition, information regarding the behavior pattern of the patient sensed by the sensor 16 is also transmitted.

In the third stage, the readers 12 and 19 receive the signal of the RFID tag 11 of the patient, the signal of the near field RFID tag 18 of the medical person, and the button 20 generated in the second stage, and the reader 12 19 is transmitted through the communication network to the management server 13 with its own location information.

The third to seventh steps are not different from the second embodiment, and thus, detailed description is not given.

More preferably in Example 2 and Example 3 above,

If the information on the behavior pattern matched in the fifth step is an abnormal pattern indicating the abnormality of the patient's health, it is characterized by preventing the risk by sending a signal to the medical staff to display. This is possible because it is possible to quickly grasp that the behavior pattern of the received patient is different from the behavior pattern when the health of the patient stored in the database server is normal.

This is to protect the patient's life by promptly contacting the medical staff in an emergency where an emergency occurs and the emergency call signal cannot be sent.

The following effects can be expected through the system and method for recognizing the patient's condition for preventing the claim unfair claims.

First, the behavioral patterns of patients can be clearly analyzed, and when calculating insurance benefits, it is possible to accurately consider whether to enter the hospital, time, medical treatment, and type. Therefore, it is possible to prevent an unfair claim of insurance claims on the basis of false facts such as decorating a room.

In addition, when an abnormal behavior pattern occurs, the hospital is notified immediately to take an action, and the Insurance Corporation can also select and investigate a time zone in which abnormal behavior patterns frequently occur in a hospital where an abnormal behavior pattern frequently occurs.

Second, it is possible to selectively send the patient's information to the Insurance Corporation, etc. to help protect the privacy of the patient.

Third, it is possible to quickly detect the physical changes of the patient to inform the medical staff quickly in an emergency situation, which helped the patient's life protection and patient management.

Claims (10)

An antenna 10 installed at specific places of the hospital to recognize the position and behavior pattern of each patient to generate a specific radio frequency signal to drive the RFID tag 11; RFID tag 11 mounted on the patient's clothing to generate a specific frequency signal unique to the patient by the radio frequency signal of the antenna, A sensor 16 installed in the patient's bed to generate a patient's behavior pattern information signal on the bed; The reader 12 installed with the antenna to detect the information signal of each patient transmitted from the RFID tag 11 or the behavior pattern information signal of the patient generated by the sensor 16 to transmit information to the management server 13 ), Management server 13 for receiving the information and the like transmitted from each reader 12 to match and filter the patient's behavior patterns, Database server 14 that stores the behavior pattern type information of the patient, Patient status system for preventing claims fraud, characterized in that it comprises a web server (15) for transmitting the information filtered by the management server (13) to the Insurance Corporation server (100). The method of claim 1, The reader 12 and the antenna 10 are respectively installed in the bed, entrance door, toilet, rest room, walkway, The reader 12 installed in the bed recognizes only one specific ID signal, The reader 12 installed at the entrance to the room recognizes only ID signals of patients using the room, The reader 12 installed in the restroom, break room and the promenade is a patient state recognition system for preventing claims fraud, characterized in that it is set to recognize the ID signal of the entire patient. delete The method of claim 1, The sensor (16) is a patient sensor system for preventing claims unfair claim, characterized in that the weight sensor or vibration sensor or heat sensor using a load cell. The method according to any one of claims 1, 2 or 4, A near field antenna 17 attached to a patient's room to generate a specific radio frequency signal to drive a near field RFID tag 18 provided to a medical person; A near field RFID tag 18, which is provided to doctors and nurses who are medical personnel and transmits unique information signals of medical personnel by a specific frequency signal of the near antenna 17, Button 20 which is installed in the patient's room and can transmit information such as medical examination, roundup, urgent call for medical visit, It is further configured to further include a near field reader 19 mounted on the patient's room to detect the medical information generated by the near field RFID tag 18 and the button 20 installed in the patient's room to transmit to the management server (13). Patient status recognition system for preventing claims fraud. A first step of generating a specific radio frequency signal by an antenna 10 installed at a specific place of a hospital in order to recognize a patient's behavior pattern; When the RFID tag 11 enters the frequency effective range of the antenna generated in the first step, the RFID tag 11 installed on the patient's clothing operates according to the signal of the antenna 10 to transmit unique information of the patient. Step 2, A third step of receiving the patient information of the RFID tag 11 transmitted in the second step by the reader 12 and transmitting it to the management server 13 together with the location information of the reader 12; A fourth step of receiving the patient information of the RFID tag 11 transmitted in step 3 and the location information of the reader from the management server 13; A fifth step of matching the patient information received in the fourth step with behavior pattern information stored in the database server 14, A sixth step of filtering, by the management server 13, the matched information in the fifth step to determine whether it is a normal behavior pattern or an abnormal behavior pattern; If the patient's behavior pattern filtered by the management server (13) is abnormal behavior method comprising the seventh step of displaying on the hospital side in the management server (13) characterized in that the patient state for preventing claims fraud. A first step of generating a specific radio frequency signal by an antenna 10 installed at a specific place of a hospital in order to recognize a patient's behavior pattern; When the RFID tag 11 enters the frequency effective range of the antenna 10 generated in the first step, the RFID tag 11 installed on the patient's clothing is operated according to the signal of the antenna 10 to provide unique information of the patient. A second step of transmitting the patient's status information by detecting a patient's behavior pattern by the sensor 16 installed in the patient's bed; The reader 12 receives the patient information of the RFID tag 11 and the patient state information detected by the sensor 16 transmitted in the second step, and transmits it to the management server 13 together with the position information of the reader 12. The third step, A fourth step of receiving the patient information of the RFID tag 11 transmitted in step 3, the patient status information detected by the sensor 16, and the location information of the reader 12 from the management server 13; A fifth step of matching the patient information received in the fourth step with behavior pattern information stored in the database server 14, A sixth step of filtering, by the management server 13, the matched information in the fifth step to determine whether it is a normal behavior pattern or an abnormal behavior pattern; If the patient's behavior pattern filtered by the management server (13) is abnormal behavior method comprising the seventh step of displaying on the hospital side in the management server (13) characterized in that the patient state for preventing claims fraud. In order to recognize the patient's behavior pattern, the antenna 10 installed in a specific place of the hospital generates a specific radio frequency signal, and the near antenna 17 mounted on the patient's medical record in order to determine the location of the medical person has a specific radio frequency. A first step of generating a signal, When the RFID tags 11 and 18 of the patient and the medical person enter within the frequency effective ranges of the antenna 10 and the near antenna 17 generated in the first step, the RFID tag 11 installed on the patient's clothing and the near field of the medical person The RFID tag 18 is operated according to the signal of the antenna to transmit the patient's unique information and the location information of the medical person, and the sensor 16 installed in the patient's bed detects the patient's behavior pattern and transmits the patient's status information. A second step of transmitting a specific signal by pressing a button 20 mounted on the patient's room for the purpose of visiting the patient; Read the patient information of the RFID tag (11, 18) transmitted in the second step, the location information of the medical personnel, the patient status information detected by the sensor 16, the signal transmitted from the button 20 of the patient room pressed by the medical personnel A third step of receiving (12,19) and transmitting the position information of the reader (12, 19) to the management server (13), A fourth step of receiving the location information and the status information transmitted in the step 3 from the management server 13, A fifth step of matching the patient information received in the fourth step with behavior pattern information stored in the database server 14, A sixth step of filtering, by the management server 13, the matched information in the fifth step to determine whether it is a normal behavior pattern or an abnormal behavior pattern; If the patient's behavior pattern filtered by the management server (13) is abnormal behavior method comprising the seventh step of displaying on the hospital side in the management server (13) characterized in that the patient state for preventing claims fraud. The method according to claim 7 or 8, The insurance money, characterized in that to prevent the risk by sending a signal to the medical staff when the behavior pattern of the patient generated in the sensor 16 of the bed among the behavior pattern of the patient filtered by the management server 13 of the sixth step is abnormal How to know if you're in a patient condition Patient behavior pattern by the signal of the RFID tag 11 of the patient hospital uniform or the signal of the sensor 16 using the load cell or the signal of the RFID tag 18 and the button 20 of the medical staff or a combination of the signals Analytical Method.

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